Provider Demographics
NPI:1114913464
Name:KLESPIES, RICHARD M (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:KLESPIES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2759 WOODBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1941
Mailing Address - Country:US
Mailing Address - Phone:330-655-2492
Mailing Address - Fax:
Practice Address - Street 1:10568 RAVENNA RD
Practice Address - Street 2:SUITE #8
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1654
Practice Address - Country:US
Practice Address - Phone:330-425-4424
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH141061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice